Adams John David, Della Rocca Gregory J
Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri.
J Knee Surg. 2016 Jan;29(1):28-33. doi: 10.1055/s-0035-1566737. Epub 2015 Nov 9.
Fractures involving the posterior aspect of the tibial plateau are challenging fractures to treat. Articular depression in tibial plateau fractures is usually addressed by elevation of the fragment(s), filling the residual defect with bone graft or bone substitute, and "raft" support of the articular fracture reduction with screws through a medially and/or laterally based plate. Posterior tibial plateau articular depression presents unique challenges for obtaining and maintaining fracture reduction. To obtain the goals of anatomic reduction and stable fixation, a thorough understanding of the fracture, specific approaches, reduction techniques, and stabilization strategies is needed. This article reviews the most current strategies for treating tibial plateau fracture patients with posterior articular depression.
涉及胫骨平台后侧的骨折是具有挑战性的骨折，难以治疗。胫骨平台骨折的关节面塌陷通常通过抬高骨折块、用骨移植或骨替代物填充残余缺损以及通过内侧和/或外侧钢板用螺钉对关节骨折复位进行“筏式”支撑来处理。胫骨平台后侧关节面塌陷在实现和维持骨折复位方面存在独特的挑战。为了实现解剖复位和稳定固定的目标，需要对骨折、具体入路、复位技术和稳定策略有透彻的了解。本文综述了治疗伴有后侧关节面塌陷的胫骨平台骨折患者的最新策略。
